老年糖尿病肾病患者血液透析治疗中低血糖的观察和护理探究

目的：分析老年糖尿病肾病患者在进行血液透析过程中观察低血糖发生情况，并采取有效措施预防及护理低血糖情况。方法选取2012年4月～2013年4月在我院接受血液透析治疗的40例老年糖尿病肾病患者，在实行血液透析过程中给予相应的护理干预措施，帮助预防低血糖发生。结果本组40例患者，在实行1400次血液透析中有25例次（1.8%）低血糖情况，其中有3例患者表现出低血糖浅度昏迷反应，通过进行对症治疗、护理之后恢复正常。结论针对老年糖尿病肾病患者在实行血液透析治疗中容易发生低血糖反应，护士在此阶段应积极采取护理干预，重视患者的药物服用护理、血糖监测护理以及饮食护理，密切关注患者病情变化情况，积极预防血液透析过程中低血糖情况的出现。

Study on observation and nursing of hypoglycemia in elderly patients with diabetic nephropathy undergoing hemodialysis treatment

Objective To analyze and observe the incidence of hypoglycemia in elderly patients with diabetic nephropathy undergoing the hemodialysis treatment, and the effective measures to prevent and nurse the hypoglycemia. Methods 40 elderly patients with diabetic nephropathy received the hemodialysis treatment from April 2012 to April 2013 in our hospital were selected, and given the corresponding nursing intervention measures during the process of hemodialysis to help prevent the incidence of hypoglycemia. Results In 40 patients of this group, there were 25 cases（1.8%） occurred hypoglycemia during the 1400 times of hemodialysis, of which 3 patients showed the light hypoglycaemia coma reaction, and returned to normal after the symptomatic treatment and nursing. Conclusion For the elderly patients with diabetic nephropathy occurring easily the hemodialysis during the process of hypoglycemia, the nurses should take active nursing intervention, pay more attention to the patients＇ medication nursing, blood glucose monitoring nursing and diet nursing, pay close attention to the changes of patients＇ condition, prevent actively the hemodialysis during the process of hypoglycemia.